Claims Specialist Training Director Jobs

349 jobs

DUTIES The position of Claims Trainer is primarily responsible for reviewing and monitoring the quality of work generated within the department based on established departmental guidelines. Responsible for providing ongoing training on the core processing system, claims processing procedures, communicating regulatory changes which will affect established procedures, establishing quality and perf...

Company Confidential
CLAIMS SPECIALIST Position Announcement Are you energized by gathering data and love working on the phone? Do you have the passion and persistence to confirm status of insurance claims? Do you thrive in a team-oriented environment dedicated to employee success? … If so, you need to talk to us! With decades of experience in the substance abuse and mental health rehab industry, the team at Inf...

Under general direction, assists Director overseeing daily operations of the MBP Claims Specialists, Auditors, and Customer Service Specialists. Responds to elevated calls and follows-up to ensure resolution. Works with considerable independence to research, analyze, and resolve complex service issues for agents and insureds that fall outside the level of authority of subordinates. Provides writte...

Position Summary: Under the general direction of the Site Manager, the primary responsibility of this position is to develop and establish strategies to ensure overall Environmental, Health and Safety compliance and accident/incident prevention. This position will also maintain a dotted line responsibility to the Corporate Director of EHS for LPG and will partner with Corporate Risk Management an...

General Responsibilities: This position is the HCM Senior Management technical expert responsible for the control of incurred claim cost through the management of technical excellence and quality standards of claims handling by HCM and vendors. The position has global responsibility for the development of tiered authority and referral matrix, spanning all HCM handling levels, and working with HCM...

PURPOSE AND SCOPE: Fresenius Health Partners (FHP) is a wholly-owned subsidiary of Fresenius Medical Care North America (FMCNA), the world's largest integrated provider of products and services for individuals undergoing dialysis because of chronic kidney failure. FHP improves the health and outcomes of patients with end stage renal disease (ESRD) and chronic kidney disease (CKD) through intensi...

PURPOSE AND SCOPE: Fresenius Health Partners (FHP) is a wholly-owned subsidiary of Fresenius Medical Care North America (FMCNA), the world's largest integrated provider of products and services for individuals undergoing dialysis because of chronic kidney failure. FHP improves the health and outcomes of patients with end stage renal disease (ESRD) and chronic kidney disease (CKD) through intensi...

Role Summary This position is responsible for leading a team of Claims Associates. Reporting to the Claims Director, this leader will manage the daily production of their respective team at the direction of the Claims Director and ensure absolute quality and customer focus that meet or exceed Operational standards. This manager will also work along-side Claims Supervisors in other sites to ensure...

Riyadh
Bechtel: We Build Rail The Riyadh Public Transport Project is the biggest infrastructure project to be undertaken in the Kingdom of Saudi Arabia with an overall budget of €16·3bn and is one of the largest public civil engineering projects of the century. The BACS consortium led by Bechtel is to design and build lines 1 and 2, totaling 63·3 km, with a contract value of US$9·45bn. This will transf...

Health Services Training Specialist, Sr - Registered Nurse required Newark, NJ-1502009 About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquart...

Select Portfolio Servicing, Inc a Credit Suisse company is an industry leader in residential mortgage loan servicing with a portfolio of over 400,000 national loans. Our commitment to compliance, excellent customer service and superior investor relations has positioned us for sustained success. Director, Escrow: Responsible for a broad spectrum of functions within Escrow. Supervise teams of Escro...

Overview: The Manager, Claims Quality oversees the daily operations of the Claims quality staff and is responsible for managing and maintaining operational claims quality and claims training programs. The position is responsible for the internal and external oversight of all claims staff audits, from other health plans, DMHC, and CMS to ensure overall compliance with exceptional results as direct...

Boston University: Originally founded as a Methodist seminary in 1839, over the past decade Boston University has become a global scale institution with top tier academic and research programs. It is the nation’s fourth largest private university in terms of student enrollment, with over 33,000 undergraduate and graduate students drawn from more than 130 countries. The University has 17 schools a...

Claim Audit Team Lead-1531543 Description Community Health Systems ("CHSPSC, LLC") is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease more than 200 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective h...

Description Community Health Systems ("CHSPSC, LLC") is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease more than 200 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a range of ...

Description Community Health Systems ("CHSPSC, LLC") is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease more than 200 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a range of ...

Additional Information: This role may be staffed out of the Nationwide Office in either Sacramento, CA or Columbus, OH. JOB SUMMARY : Provide services to claim management and profit center management in the delivery of claim service to mid and large commercial market accounts. Represent Nationwide commercial claims as the primary relationship manager. Research, manage and serve as the primary li...

PRINCIPAL OBJECTIVES OF POSITION In conjunction with the Casualty Claim Director, develop quality, service, loss and expense goals for the specific line of business. Participate in setting corporate goals and objectives. Ensure standards are met on a consistent basis. Provide technical direction, advice and/or training to team members in support of departmental goals and objectives. Position pr...

Job Number : 92600139 Description Overview: The District Director Human Resources oversees all Stores HR Functions for a District within the organization. The scope of authority will extend to Executive and Staff initiatives, such as Recruitment, Retention, Selling Effectiveness, Organizational Development, Succession Planning, Performance Manage, Training and Employee Relations. Supports Store...

Job Posting Number: 51625BR Job Posting Title: Operations Supervisor: Claims Processing and Provider Database Job Posting Category: Business Professional Work Site: MN - Rochester Department: Global Business Solutions Job Description Position will oversee two work units: Mayo Claims and Provider Database while working cooperatively with Manager and Director of Operations. The Mayo Claims tea...